Active NPI
Jean Elizabeth Johnson-Strachan, MD
- Adult Medicine Physician
- Florissant, MO
National Provider Identifier
1811032899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 2009006924
- Practice address
- 11642 W Florissant Ave
Florissant, MO 63033-6723 - Phone
- (314) 838-8220
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 2009006924 | MO | Primary |
Addresses
Primary practice location
11642 W Florissant Ave
Florissant, MO 63033-6723
Mailing address
11642 W Florissant Ave
Florissant, MO 63033-6723
Phone (314) 838-8220
Other practice location 1
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone (314) 367-5820 ext. 2306
Other names 1
- Dr. Jean Elizabeth Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of St Louis Division of Fiscal Management | Past | Accepting new patients | |
| SSM Depaul Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Berkeley, MO
- NPI 1184519506
-
- Family Medicine Physician
- Florissant, MO
- NPI 1952312951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1811032899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11642 W FLORISSANT AVE",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336723",
"telephone_number": "314-838-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11642 W FLORISSANT AVE",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336723",
"telephone_number": "314-838-8220"
}
],
"practiceLocations": [
{
"address_1": "5471 Dr Martin Luther King Dr",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631124265",
"country_code": "US",
"telephone_number": "314-367-5820 x2306",
"fax_number": "314-367-7010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON-STRACHAN",
"first_name": "JEAN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MO",
"license": "2009006924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "JOHNSON",
"middle_name": "ELIZABETH",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.